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Individual
RANDY ESTACION FLORENDO
Active
Individual
RANDY ESTACION FLORENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
49518
KY
207P00000X
Emergency Medicine Physician
Primary
MD31309
TN
207R00000X
Internal Medicine Physician
31309
TN
207R00000X
Internal Medicine Physician
49518
KY
208000000X
Pediatrics Physician
MD31309
TN
208D00000X
General Practice Physician
MD31309
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3848225
—
TN
01
—
4108174
TENN CARE
TN
Enumeration date
09/15/2005
Last updated
05/02/2023
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